HomeMy WebLinkAbout0155908-Building (roof) � CITY OF OSHKOSH No 155908
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1916 DELAWARE ST _ Owner COLLEEN D RYAN Create Date 05/31/2013
Designer Contractor OWNER
Inspector John Zarate
Category 041 -Residential Roofing Plan
Type � Building � Sign � Canopy � Fence � Raze �
Zoning R-1 Class of Const:
Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. � Projection j
Finished/Living Sq.Ft. Bedrooms _ Stories Canopies '
Garage Sq.Ft. Baths Signs
Foundation � Poured Concrete � Floating Slab � Pier 0 Other
� Concrete Block � Post � Treated Wood
Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit
Park Dedication #Dwelling Units 0 #Structures 0
Use/Nature Re-roof house
of Work
i
I
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation $3,700.00 Plan Approval $0.00 Permit Fee Paid $58.00 Park Dedication $0.00
Issued By: -� Date 05/31/2013 Final/O.P. 00/00l0000
❑ Permit Voided I Parcel Id# 1409030000
Cautionarv Statement to Owners Obtaininq Buildinq Permits
101.65(1 r)of the Wisconsin Statutes requires municipaiities that enforce the Uniform Dwelling Code to provide an owner who applies for a
building permit with a statement advising the owner that:
If the owner hires a contractor to perform work under the building permit and the contractor is not bonded or insured as required under
s. 101.654(2)(a),the following consequences might occur:
(a)The Owner may be held liable for any bodily injury to or death of others or for any damage to the property of others that arises out of
the work performed under the building permit or that is caused by any negligence by the contractor that occurs in connection with the
work performed under the building permit.
(b)The Owner may not be able to collect from the contractor damages for any loss sustained by the owner because of a violation by the
contractor of the one and two family dwelling code or an ordinance enacted under sub.(1)(a),because of any bodily injury to or
death of others or damage to the property of others that arise out of the work performed under the building permit or because of any
bodily injury to or death of others of damage to the property of others that is caused by any negligence by the contractor that occurs
in connection with the work performed under the building permit.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit appiication within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
I have read and understand the aforementioned information.
Signature Date
AgenUOwner
Address 1916 DELAWARE ST OSHKOSH WI 54902 - 6731 Telephone Number
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh �
Inspection Services Division �
POBox 1130
Oshkosh,WI 54903-1130
Phone:(920)236-5050 (�1
Fax:(920)236-5084 ��
Roofing & Siding Permit Application ON THE WATFR
• Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR
If vou are a contractor participating in the Permit fee Account Svstem and have adequate funds, check here
i,�,you want this processed through vour account n
JOB ADDRESS `��^+ �t�
OWNER
CONTRACTOR �"�
I am the: I$'Owner OR ❑ Contractor
�E CATEGORY
Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Work being done:
ROOFING
❑Tear off and replace existing roofing on C]house,0 garage
❑Replace wood decking
�1.'Add 1 layer of roofing to the existing \ layer(s)on f�house,�gatage
This work is being done due to�Hail Damage l�Other
SIDING
O Install siding on ❑house, ❑garage
❑Replacing vinyl with vinyl
❑Replacing steel or aluminum with vinyl(circle steel or aluminum)
❑Replacing with
This work is being done due to❑Hail Damage ❑Other
When siding is done,one of the boges below must be checked:
1) ❑Electric—Existing Electric Meter,receptacle,lighting and Electric Service entrance alterations/modifications are being performed
by
(Name of Liceosed Electric Conuactor)
AND ❑Electric Installarion Verification form is attached OR ❑Separate Elect Permit will be requested
2) ❑Electric—Not Applicable because: ❑J Blocks previously installed. ❑No outside lights. ❑Other
❑Install new or�Replace gutters '
❑Install new or O Replace downspouts
Other related work being done: (please note)
Value of the job$ �//VlJ (include fair market price for labor even if you are not paying for labor) 03/02